Servicio de Cirurgía Ortopédica y Traumatología. Hospital Universitari Germans Trias I Pujol, Badalona, España.
Servicio de Cirurgía Ortopédica y Traumatología. Hospital Universitari Germans Trias I Pujol, Badalona, España; Universidad Autónoma de Barcelona. Departamento de Cirugía, Barcelona, España.
Rev Esp Cir Ortop Traumatol (Engl Ed). 2020 Nov-Dec;64(6):415-420. doi: 10.1016/j.recot.2020.05.002. Epub 2020 Jun 28.
It is very important to treat prosthetic infections correctly in order to ensure a higher success rate. Debridement with implant retention (DAIR) is widely used in acute and late infections, however patients who fail after this surgery are known to have a higher risk of failure in subsequent surgeries. Therefore, it is important to find a scale that enables us to predict the risk of DAIR failure. Hence the KLIC and CRIME80 scores for acute and late acute infections, respectively. This study analysed the validity of both scores in acute late periprosthetic knee infections. We observed that the KLIC score has no predictive value for this type of infection, but the CRIME80 score does.
为了确保更高的成功率,正确治疗假体感染非常重要。保留植入物的清创术(DAIR)广泛用于急性和晚期感染,但已知手术后失败的患者在随后的手术中失败的风险更高。因此,找到一种能够预测 DAIR 失败风险的方法非常重要。因此,分别为急性和晚期急性感染制定了 KLIC 和 CRIME80 评分。本研究分析了这两种评分在急性晚期人工膝关节感染中的有效性。我们观察到 KLIC 评分对这种类型的感染没有预测价值,但 CRIME80 评分有。